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fish29
Regular Member


Date Joined Apr 2011
Total Posts : 70
   Posted 5/12/2011 7:53 AM (GMT -7)   
Good Morning Everyone,

I saw some remarks on this from a few years back..

Has anyone switched from a "morphine" product to Oxycontin?
I am having some side effects with the morphine and since the diludid ER is VERY expensive my doctor has put me on the Oxy.

I take 90MG total Morphine, and this would be 90 MG total... should I be expecting anything weird to happen the first time I take it? Should I wait until the weekend?

Thank you!

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 4996
   Posted 5/12/2011 8:42 AM (GMT -7)   
 
      Hello Chompers!
 
            I'm thinking there should be a conversion guide between the two, and I'm not sure if your Dr has calculated it correctly. You should probably call your "pharmacy" and ask them, but my question is, what did you're Dr or PM say? If you have been taken off the morphine and it was giving you side effects, then I would think you should probably start the Oxycontin right away. If not you may suffer some withdrawals.
 
        Bottom line is, call you're prescribing Dr and ask them.
 
           Good luck, and please let us know how your doing after you're on it for a while.
 
      SE wink
     
Moderator Chronic Pain Forum

Weekly Quote!

"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"

fish29
Regular Member


Date Joined Apr 2011
Total Posts : 70
   Posted 5/12/2011 8:51 AM (GMT -7)   
I am still on the morphine, have been on it since October 2010, I get the Oxy today. I was just wondering if anyone has personal experience :)

If the dose is different it's probably because I have not had an increase since January.
Tethered Cord Syndrome, Fibromyalgia and Myofascial Pain Syndrome (newly diagnosed)
Morphine (IR & ER), Baclofen, Neurontin, Savella, Voltaren Gel

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 4996
   Posted 5/12/2011 8:57 AM (GMT -7)   
 
 
           I'm thinking the dose he has given you is in your favor, as I read that 120mg of morphine is equal to 80mg of oxycontin. So if you were on 90mg of the morphine and he has scripted you to 90mg of the Oxy, then it looks to me like it is a raise in total dosage.
 
                 Sorry, I have not had to change scripts like this, but I'm sure others here have.
 
        Again good luck!
 
 SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"

CRPSpatient
Forum Moderator


Date Joined Mar 2011
Total Posts : 1185
   Posted 5/12/2011 1:14 PM (GMT -7)   
Hi chompers,

I haven't looked at any conversion tables, but I'd agree with what SE posted. I've neve done a switch from morphine to oxy, but it's my believe that oxycodone is quite a lot more potent per mg of drug than morphine.

Hope that helps some,

Laura
CRPS since 1999, diagnosed in 2005 and since spread to full body, spasms, dystonia & contractures, gastroparesis, orthostatic hypotension, bursitis, carpal tunnel syndrome.

On Oxycontin/Endone, Topamax, Mobic, Magnesium, Florinef, Somac, Cipramil. Have a spinal cord stimulator, intrathecal pump with baclofen & bupivacaine and doing physio.

spinal soldier
Veteran Member


Date Joined Dec 2009
Total Posts : 628
   Posted 5/12/2011 4:35 PM (GMT -7)   
multiple morphine total 24hr. dose by 1.5-2. that is the conversion factor to get equivalent oxycodone but people vary greatly on this particular comparison.
L4,L5,S1 bilateral Laminectomies, Foraminotomies 2002
L4-S1 PLIF with instumentation 2008,

current Rx: MScontin 100mg q8hrs. , dilaudid 8mg q6hrs. prn, oxymorphone IR 10mg q6 ,vistaril 50mg prn nausea, Lyrica 150mg 2x,Adderall 20mgs 1x A.M. 10mg PM prn, Soma 350 mg 3X, Elavil 25 HS, diazepam 10mg bid prn, Supplements: CO-Q10 100mg, Vitamin D 1000IU, Fish-Oil1000mg EFA, B-Complex50 3x/day, ALA

grandmaroses
Veteran Member


Date Joined Jan 2011
Total Posts : 1355
   Posted 5/13/2011 10:55 AM (GMT -7)   
My dr changed me from morphine to oxycodene a few months ago because I could not handle the side effects from morphine. I didn't have any issues with the change and then I took less mg oxy than mprphine. I hope you do not have any issues with the change, for me this was a positive change hope it is for you too.
Take care
Rose
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

quevega
New Member


Date Joined May 2011
Total Posts : 8
   Posted 5/13/2011 9:01 PM (GMT -7)   
Hi everyone,

from my experience the reason for switching a patient from morphine to oxycodone (or the various brand named medications) is that it is believed to be less likely to lead to addiction.

As far as dosage goes, from the research I have done, when taken orally oxycodone is thought to be approximately 50% stronger than morphine, but when administered intravenously the reverse is the case.

I have been on and off oxycodone for about 3 years now, before my surgery I was on 160mg oxycodone a day and told by the pharmacist at the hospital that it would take at least 6 months for me to come off it. I came off it in the first 3 days during my post-surgical recovery, predominantly because I am very stubborn and dislike being told what I can and can't do! I suffered the usual side effects of nausea and lethargy but was in so much post operative pain that these were negligible.

It never ceases to amaze me how little information doctors provide about medications, personally I believe it is advisable to begin the new medication as soon as the one being replaced is stopped.

I wish you the very best of luck and hope that you begin to get the relief that you need.

tryin2cope2
New Member


Date Joined Apr 2011
Total Posts : 10
   Posted 5/14/2011 9:22 AM (GMT -7)   
My husband has been on Oxycontin, Oxycodone, Methadone & Morphine. They are all different. The Oxycodone has 'Tylenol' in it. The Oxycontin has some serious with drawls if you have been on it long. Some are short term meds others are longer lasting.

If your dr won't spend the time explaining them to you then look on the internet or talk with your pharmacist. You should always have an active roll in your care. The internet is full of info on the meds. After 25 yrs we have run the gamut of meds and sometime you have to change because you can build up a resistance of sorts.

If you want to take less meds or keep you system from being beat up by the meds then add some supplements that will help your body deal with your condition and add the meds to work better.

I am always willing to share what we do but I strongly recommend you always research to make sure that it will not conflict with your meds... remember that your dr may not be inclined to alternatives because that is not what they are trained in but you are responsible for your health..

CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 5/15/2011 7:33 PM (GMT -7)   
I just wanted to add to 'tryin2cope2' that there is NO tylenol in oxycodone, there IS tylenol is percocet, which is oxycodone AND tylenol, but only goes up to 10mg, and the only other does is 5mg i believe it is, dont think there is a 7.5mg like vicodin. But with Oxycodone there is 5mg, 15mg, and 30mg. But there is no tylenol in oxycodone.

By the way everyone, you say your switching to oxycontin because its LESS expensive? and less expensive then dalaudid? Dalaudid is actually pretty cheap, and oxycontin is very expensive...I take 90mg 3 times a day, a 60mg and a 30mg 3 times a day. And the 60 count of 60mg costs about $675, and even the 60 count of 30mg costs over $600 so thats not cheap, and I garuntee you that the dalaudid is cheaper, Ive bought it before and not used insurance just paid cash and it wasnt bad what so ever where as its pretty tough to pay for just one of my scripts of oxycontin when i only get 893 a month.

Post Edited (CrohnsPatient) : 5/15/2011 7:38:44 PM (GMT-6)


NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 5/16/2011 2:34 PM (GMT -7)   

Hello chompers23, just a little more input from nini53.  I think it depends on who your doctor is and what they are saying, I am saying I once asked my doctor if he thought I should take oxycontin, instead of morphine, his reply to me was there was no difference in the strenght of the medications.

Now while I dont agree with him, I am not going to argue with him about it either.  I am doing ok on what I take now which is 60mg of morphine 3xday, 10mg. percocet for breakthrough, and neurontin 300mg 3xday.

Before he became my pm doctor which is almost a year now.  I had been on methadone.  I will say this I had some minor withdrawal systems while switching from methadone to morphine, now of course thats gone.  Also when I see him again for my monthly visit June1, I will be getting some kind of change in my meds because what I am taking is just not holding up, and I have been at the same strength for more than 3 years. I mispoke before, I actually was taken off of methadone by my previous pm doctor, the man was so paranoid about prescriping methadone when I started with him some time in 2009, after 3 months of prescriping methadone, he explained that either I take another pain med or go to another doctor.  I changed because at that time, I had no time to research for another doctor.  Withdrawal was not an option.  Once was enough for me, its pure awful, I wont go through it again.

I trust my pharmacist more than my doctor, when I ask her a question, she knows what shes talking about.  Just one more thing, I was taking diludid 4mg. when I was on methadone for bt pain.  I agree at least for me it was one of the most least expensive meds I have been given, the pain med that was the very least expensive was methadone.  I wont go into my entire conspiricy theory about the cost of meds.

So hoping everythings works out for you, and wishing you low pain days and many of them.

 

 


degenerative disc disease, fibromyalgia, osteoarthritis, neuropathy, lumbar laminectomy july 1998 no help, rechargeable neurostimulator unit low right back w/lead wires to left side and right leg unit not working just sitting there.i am 57 years young in may will turn 58. i have 2 grown daughters, 25 and 29. i have 2 grandchildren, 9 year old grandaughter and 5 yr. old grandson

Lindss
New Member


Date Joined May 2011
Total Posts : 1
   Posted 5/17/2011 11:44 PM (GMT -7)   
I saw a news that tackles an issue about drug addiction. They say that prescription of narcotic misuse is getting worse possibly because of the growing number of people with high speed internet access, claims a new study. Incidents of people being admitted to hospitals for overdosing on addictive medications increased between 2000 and 2007 along with the average internet usage. However, the research point out that not several people actually do that and any connection is purely a coincidence. They need to do something to stop this because there are lots of people who will be affected.
 
 
 
 
  (Please read the forum rules) Thanks SE
5. No advertising or links to advertising or "Spam" is permitted (including signatures)

Post Edited By Moderator (Screaming Eagle) : 5/18/2011 1:04:06 PM (GMT-6)


Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/18/2011 10:05 AM (GMT -7)   
Moderators...it looks like there is another 'hot link' in the above post for the word payday loans...so not sure if it's a mistake or it's an advertisement from the poster...

Is this new for the boards? Since i've been away for a bit not sure if this is allowed now...

Lindss...welcome to the boards...hopefully you can start your own post and tell us more about yourself and what brings you to the chronic pain boards...It's a great place here with very caring people!!
 
 
  (Rules are the same as they were. it might help to contact any of the mod's by email as these spam post are hard to see and find at times) Thanks for your attention to detail! SE wink

Post Edited By Moderator (Screaming Eagle) : 5/18/2011 1:14:14 PM (GMT-6)


fish29
Regular Member


Date Joined Apr 2011
Total Posts : 70
   Posted 5/18/2011 12:57 PM (GMT -7)   
Hi Everyone,

I read and was told it depends who you ask (re: dosage conversion), sometimes I see/read/hear 1:1, other times 1:2.
Anyway I really didn't have any side effects, just a bit tired for the first few days, and trouble sleeping at night for about 3 nights. Otherwise I'm okay now, no problems with any of those things.

I had sexual side effects as well as overwhelming fatigue on the morphine. She wanted to but me on the new Dilaudid Exalgo, but that was $260 a month with insurance! I go to a place that was voted best in pain management in the USA, but we did this over the phone since I see my physician every 3-4 months, and honestly I have been taking pain meds off and on for the last 3 1/2 years.

I was just wondering if anyone got headaches, trouble urinating etc... while doing a medication switch.

One thing I did notice, that I somehow missed on the morphine, I made the mistake of not taking my dose at night, woke up feeling horrible, yawing, tears running down cheeks etc. Same happened when I woke up a bit later on the weekend than the 8 hours! But I do feel better on the Oxy. I don't look like a zombie- even my mother said so :D
Tethered Cord Syndrome, Fibromyalgia and Myofascial Pain Syndrome (newly diagnosed)
Morphine (IR & ER), Baclofen, Neurontin, Savella, Voltaren Gel

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/18/2011 2:34 PM (GMT -7)   
SE..thanks for the info...Will use the email next time:)
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/18/2011 2:57 PM (GMT -7)   
Oxycontin 90mg is definitely much stronger than the 90mg of plain Morphine...People think Morphine is so strong but that is only in IV form...Orally...it's one of the weaker meds when going mg. to mg. against something..(not pain related)...Usually this would be around 40-45mg of Oxycodone...

I would actually check with a Pharmacist...they are experienced in the calculations..Sometimes Dr.s are not...

I am really surprised that your Dr. made this switch without bringing you into the office and just by phone...Do you just go and pick up the prescription from an office after that?

He should really be watching you on this big of a switch..so please watch for any signs of labored breathing, extreme lethargy.....and other troubles..

I am concerned with the trouble urinating and the headaches...I would call and let your Dr. know these side effects...

It could be as simple as you are very dehydrated...Most people don't drink enough water in general...but adding narcotics to the mix...we need to be drinking LOTS of water a day...I average over 15 -18 glasses a day..

Or it could be other issues as we aren't Dr.s here on the boards obviously....So please just be aware of these effects...keep a log of them...and if it persists after a few days...I would absolutely call and get an appt. to your Dr. to make sure things are ok...

The interesting thing is...that Oxycontin is WAY more expensive than the Morphine is...generic morphine is very cheap..

And what did you just switch from taking?...Dilaudid...or Exalgo....Those are both brand name medicines (not the same pill) for Hydromorphone..They are derivatives of morphine...but not a straight Morphine Sulfate pill...

Dilaudid is usually an 8mg pill for immediate release...The Exalgo is for extended release...

Just checking..but are you on Oxycontin (one pill every 8 or 12 hours) or just plain Oxycodone immediate release...Are you on a 30 and a 60 mg?

And what added up to 90mg before? How many were you taking of the other meds? I don't know how Dilaudid would add up to 90mg...

Sorry...just a bit confused so if you care to explain a bit more of what you were taking before in dosage and strength and what they have you on now...

As long as your Dr. has this all straight!!:)
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